Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 071.009521 | IL |
Y | 103TC0700X | Clinical Psychologist | 071.009521 | IL |
NPI | 1003347444 |
---|---|
Provider Name | Maria Graciela Franzwa |
First Address | Glenview, IL 60026-5804 |
Second Address | Glenview, IL 60026-5804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2017 |
Last Update Date | 19/04/2021 |